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Cervicitis, Ectropion, and True Erosion

Nikola Conrad, MD and Jasmin Khattar, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

  • Cervicitis is acute or chronic cervical inflammation; may be infectious or noninfectious.

  • Ectropion is the eversion of the endocervix; exposing the columnar cells to the vaginal envir...

DIAGNOSIS

HISTORY

Can be asymptomatic or with symptoms of increased or abnormal vaginal discharge, dyspareunia, abdominopelvic pain, postcoital or intermenstrual bleeding/spotting 

PHYSICAL EXAM

  • Cervicit...

TREATMENT

MEDICATION

First Line

  • If infectious cervicitis is suspected in high-risk patients, and testing is not available, presumptive treatment is appropriate: The recommended regimen for cervicitis is...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Test of cure for C. trachomatis is recommended in pregnant patients to document eradication of infection. Perform at least 3 weeks following tre...

REFERENCES

1
Workowski KA, Bachmann LH, for Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2021. MMWR Recomm Rep. 2021;70(4):1–187. https://www.cdc.gov/...

CODES

ICD10

  • N72 Inflammatory disease of cervix uteri

  • N86 Erosion and ectropion of cervix uteri

SNOMED

  • 37610005 inflammation of cervix (disorder)

  • 198337003 erosion and ectropion of the cervix (disorder)

  • 5467...

CLINICAL PEARLS

Sexual partners need to be treated. Expedited Partner Therapy (EPT) refers to the practice of treating the sexual partner of the infected individual without examination of the partner....

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